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Showing results for "practical".

9081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47952/psn-pdf
      January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…

9082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39893/psn-pdf
      November 02, 2010 - Surgical safety and hospital volume across a wide range of interventions. November 2, 2010 Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. https://psnet.ahrq.gov/issue/surgical-safety-and-h…

9083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44047/psn-pdf
      September 09, 2015 - Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. September 9, 2015 Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non- urgent, clinically significant test results in the elect…

9084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47755/psn-pdf
      July 24, 2019 - Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. July 24, 2019 Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu. 2019;8(2):118-122. doi:10.1007/s…

9085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34916/psn-pdf
      March 09, 2009 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. March 9, 2009 Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective st…

9086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41151/psn-pdf
      February 10, 2015 - Survey shows that at least some physicians are not always open or honest with patients. February 10, 2015 Iezzoni LI, Rao SR, DesRoches CM, et al. Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients. Health Aff (Millwood). 2012;31(2):383-391. doi:10.1377/hlthaff.2010.1137. https:…

9087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38517/psn-pdf
      February 17, 2011 - Use of electronic health records in US hospitals. February 17, 2011 Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals Increasing the use of electronic health records (EHRs)…

9088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46585/psn-pdf
      April 29, 2018 - Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. April 29, 2018 Tamblyn R, Winslade N, Lee TC, et al. Improving patient safety an…

9089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837665/psn-pdf
      July 13, 2022 - Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. July 13, 2022 Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Health Care Manage Rev.…

9090. Centre for Patient Safety and Service Quality. | PSNet
      psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
      August 01, 2024 - Multi-use Website Centre for Patient Safety and Service Quality. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 17, 2009 This research program was established to explo…

9091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47027/psn-pdf
      June 19, 2018 - Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. June 19, 2018 Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571. https://psnet.ahrq.go…

9092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44884/psn-pdf
      February 17, 2016 - Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. February 17, 2016 Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensi…

9093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47717/psn-pdf
      June 27, 2019 - Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. June 27, 2019 Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-191. doi:10.1016/j.amjsurg.2018.11.0…

9094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840142/psn-pdf
      November 16, 2022 - The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. November 16, 2022 Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Age Ageing. 2022…

9095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/858170/psn-pdf
      December 13, 2023 - Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023 Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/…

9096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45484/psn-pdf
      December 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…

9097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47317/psn-pdf
      August 15, 2018 - Actions Needed to Address Employee Misconduct Process and Ensure Accountability. August 15, 2018 Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure- accountability Both organi…

9098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845353/psn-pdf
      March 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and…

9099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74727/psn-pdf
      February 02, 2022 - Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. February 2, 2022 Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. Jt …

9100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45021/psn-pdf
      April 06, 2016 - Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. April 6, 2016 Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…